Individual
CHINNON JAQUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2740 W CENTRAL AVE, SUITE 200, TOLEDO, OH 43606-3452
(419) 345-3471
Mailing address
2740 W CENTRAL AVE, SUITE 200, TOLEDO, OH 43606-3452
(419) 345-3471
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1365211
OH
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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